| NPI | 1437327368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANLEY MARK LEVENSON Owner 508-753-3105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MA 16437) |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2025-03-24 |